Grievances & Complaints

File a grievance within your insurance company if:

You have a claim denial due to specific benefits exclusions or restrictions.

You want to file a formal complaint regarding any aspect of the services provided by your healthcare plan.

As with the appeals processes, the process for filing a grievance will vary from health plan to health plan. Be sure to call your health plan's customer service department to obtain the specific details on how to file a grievance.

PHA is proud to be able to make educational materials and programs like these available for free to everyone because of the generous support from members of the community just like you. Donations are welcome!

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The information provided on the PHA website is provided for general information only. It is not intended as legal, medical or other professional advice, and should not be relied upon as a substitute for consultations with qualified professionals who are familiar with your individual needs.